Active NPI
David Alan Towne, D.D.S
- General Practice Dentistry
- Ogema, MN
National Provider Identifier
1245355122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901011141
- Practice address
- 40520 County Highway 34
Ogema, MN 56569-9612 - Phone
- (218) 983-4300
- Fax
- (218) 983-6217
- NPI assigned
- Mar 20, 2007
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901011141 | MI | Primary |
Addresses
Primary practice location
40520 County Highway 34
Ogema, MN 56569-9612
Mailing address
40520 County Highway 34
Ogema, MN 56569-9612
Phone (218) 983-4300
Other practice location 1
47520 282nd Street
Ponsford, MN 56575-0064
Phone (218) 573-2162
Other practice location 2
238 Church St
Naytahwaush, MN 56566-0039
Phone (218) 935-2238
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170810000228 | TX | Order and Referring Only - Dentist | 4587794649 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901011141 | MI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1245355122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40520 COUNTY HIGHWAY 34",
"city": "OGEMA",
"state": "MN",
"postal_code": "565699612",
"telephone_number": "218-983-4300",
"fax_number": "218-983-6217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40520 COUNTY HIGHWAY 34",
"city": "OGEMA",
"state": "MN",
"postal_code": "565699612",
"telephone_number": "218-983-4300",
"fax_number": "218-983-6217"
}
],
"practiceLocations": [
{
"address_1": "47520 282nd Street",
"address_purpose": "LOCATION",
"city": "Ponsford",
"state": "MN",
"postal_code": "565750064",
"country_code": "US",
"telephone_number": "218-573-2162",
"fax_number": "218-573-3888",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "238 Church St",
"address_purpose": "LOCATION",
"city": "Naytahwaush",
"state": "MN",
"postal_code": "565660039",
"country_code": "US",
"telephone_number": "218-935-2238",
"fax_number": "218-935-5085",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TOWNE",
"first_name": "DAVID",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901011141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ogema, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.